| NPI | 1255761367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN KANG President 562-809-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA AC 3608) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA DC 24437) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2014-12-23 |